| NPI | 1063056109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DTP762) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH RES004067) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 004067) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-06-28 |