| NPI | 1982727376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI DT2464) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: HI DT2464) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-11-26 |