| NPI | 1306134093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: FL DN19481) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19481) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-02-08 |