| NPI | 1487236857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN10001323) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 14698) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-389) | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2026-04-15 |