| NPI | 1073038519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 38553) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 101635) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019031847) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 101635) | |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2022-07-11 |