| NPI | 1427499888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV s3274) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 6440) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-07-06 |