| NPI | 1417914003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 7015) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DTP 113) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN S68) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OR D10449) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-03-07 |