NPI | 1699113159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401413793) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038496) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14926) | |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |