| NPI | 1356443584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN17187) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 17187) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-03-07 |