| NPI | 1114954211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NC 12621) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MN D9601) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 17357) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-04-14 |