| NPI | 1285166017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415509) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050449-01) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 13003) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-07-26 |