| NPI | 1023145026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ID D-3754-OS) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE 00007763) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AK 164) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-01-20 |