| NPI | 1316490246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN21957) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2019016473) |
| 122300000X Dentist (Licence: FL DN21957) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002977) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2019016473) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-03-25 |