| NPI | 1023498797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 108331) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 9428317-9921) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401416944) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 62023) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-10-04 |