| NPI | 1326533043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: PA RFD000076) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: VA 0401419863) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: FL 1892) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MS PRV-TP-118-23) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2026-04-10 |