| NPI | 1598921660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MI 2901020130) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ 7594) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 57889) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-09-17 |