| NPI | 1356411920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0438000477) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN013313) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 4905385) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-02-23 |