| NPI | 1114310943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL DN21538) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: GA 92077) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: SC DGD.10930) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-09-11 |