| NPI | 1295046795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 2024-02223) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 13914) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: FL ME122828) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021002737) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-11-25 |