| NPI | 1588980767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 143261) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 1797) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 60421) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-04-12 |