| NPI | 1548552649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN19287) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19287) |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2024-10-11 |