| NPI | 1356587307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60055543(pending)) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 6676) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 5640-15) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |