| NPI | 1912348145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 62924) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60505354) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D10178) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-11-13 |