| NPI | 1477816056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.023761) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.023761) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011790A) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-09-12 |