| NPI | 1952347858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 33541) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 33541) |
| 1223G0001X Dentist, General Practice (Licence: IN 12010836A) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-03-23 |