| NPI | 1013913367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CT 005451) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 005451) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-09-28 |