| NPI | 1326533043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MS PRV-TP-118-23) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: FL 1892) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-06-27 |