| NPI | 1285253112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MN 77495) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D14456) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN 77495) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D14456) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-09-09 |