| NPI | 1194986141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D009313) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57549) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-183) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS57549) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-01-09 |