| NPI | 1245215193 |
|---|---|
| Former Name | JANE MARIE BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 9633) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC CS8803724) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-18 |