| NPI | 1093962268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.024687) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 18135) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12013079A) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-03-25 |