| NPI | 1427451285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ME DEN4917) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.028891) |
| 122300000X Dentist (Licence: PA DS040639) | |
| 122300000X Dentist (Licence: NY 061517) | |
| 122300000X Dentist (Licence: ME DEN4917) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002685) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS040639) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-10-04 |