| NPI | 1992970842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 31612) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 18519) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 21672) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-11-15 |