| NPI | 1457517310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038999) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NH 03682) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 054856-1) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2012-02-07 |