| NPI | 1437383072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS041608) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 57638) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30-024366) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2020-09-23 |