| NPI | 1205800067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN17202) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN17202) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-03-17 |