| NPI | 1558494559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: LA P-123) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901018465) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MI 2901018465) | |
| 122300000X Dentist (Licence: LA P-123) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-07-23 |