| NPI | 1437245438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN013854) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8853) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3845) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-06-14 |