| 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 |