| NPI | 1518915446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D11469) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412734) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DC DEN1000704) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-02 |