| NPI | 1275799074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60041) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 60041) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS037467) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-04-29 |