| NPI | 1275093973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: GA DN123264) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: GA DNGA001027) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-03-21 |