| NPI | 1942584297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29519) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011738A) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2015-01-20 |