| NPI | 1922109818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 29570) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401411530) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-12-06 |