| NPI | 1497867535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: AZ 9085) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 9085) |
| 122300000X Dentist (Licence: NY 0509071) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: NY 0509071) | |
| 125Q00000X Oral Medicinist (Licence: AZ 9085) | |
| 125Q00000X Oral Medicinist (Licence: NY 0509071) | |
| 175F00000X Naturopath (Licence: AZ 19-1790) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-05-27 |