NPI | 1538349576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 48460) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A113328) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2010-07-23 |