| NPI | 1841585247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN1855644) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14361) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS037581) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |