| NPI | 1992934236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX 24619) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24619) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-04-14 |