| NPI | 1164654216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D07864) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038213) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI02354900) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2022-04-25 |