| NPI | 1427158153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 8312) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30020765) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: CO 39080) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CO 39080) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2022-07-21 |