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 |