NPI | 1871693705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 31170) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 8160) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011561A) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2015-10-22 |