| NPI | 1427505395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS041106) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA ds041106) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-02-20 |