| NPI | 1437392701 |
|---|---|
| Former Name | AIME BROYLES-MAYUGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2007037234) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 6970) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2011-07-07 |