| NPI | 1851557680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC DGD.10872) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8525) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014922) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-07-01 |