| NPI | 1437480779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D009519) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12657) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA S630) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D12657) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 1001166-15) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2016-11-07 |