| NPI | 1306157094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A153114) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A153114) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2026-02-12 |