| NPI | 1689854945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 16315) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401411446) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DE G1-0001412) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2024-10-07 |