| NPI | 1295354421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401414062) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D010620) |
| 122300000X Dentist (Licence: WA DE60223134) | |
| 122300000X Dentist (Licence: VA 0401414062) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60223134) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D010620) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2021-06-04 |