| NPI | 1639553662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 13631) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415522) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014925) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 16583) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-06-12 |