| NPI | 1538732102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 062028) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DN23678) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 22DI02831900) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-09-20 |