| NPI | 1982791752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 13222) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: TX 13222) |
| 1223G0001X Dentist, General Practice (Licence: TX 13222) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-11 |