| NPI | 1487846168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 0195) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DNF000340) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2025-05-27 |