| NPI | 1528217940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: GA DN015296) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: KY 11045) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: GA DN015296) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-02-19 |