| NPI | 1932409745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27856) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 59940) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2019-02-14 |