| NPI | 1720471956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: DE GI-0001468) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02708100) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 059954) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2022-06-15 |