| NPI | 1811490931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OH 30.027431) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN25774) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 063034) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2024-07-08 |