| NPI | 1508500984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN31643) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0442000451) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN124049) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2026-06-26 |