| NPI | 1255304606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: TX 37679) |
| Additional Taxonomies | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: SC 8608) |
| 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: SC 873) | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: PA DS030650L) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-08-10 |