| NPI | 1194960138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 20005) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DC 1000020) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12380) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2017-03-31 |