| NPI | 1093207235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02719500) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 32361) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 059690) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-11-29 |