| NPI | 1518163724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D06909) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO D9203) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV NVS3-351C) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-03-16 |