| NPI | 1326224783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 35.136163) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022696) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.022696) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2014025584) | |
| 208600000X Surgery (Licence: MO 2014032411) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2023-02-24 |