| NPI | 1578829974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 64355) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: ME DEN4597) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: KY 10225) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-01-16 |