NPI | 1568020352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE61556525) |
Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain (Licence: WA DE61556525) |
122300000X Dentist (Licence: WA DE61556525) | |
Enumeration Date | 2019-06-05 |
Last Update Date | 2025-05-21 |