| NPI | 1376941880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: CO DEN00205359) |
| Additional Taxonomies | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: TN DS0000008292) |
| 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: MA DN1856798) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2023-01-06 |