| NPI | 1265625958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2006016233) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 53055) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 9818) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2016-01-08 |