| NPI | 1669568861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: FL DN21483) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: AL 5530) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 5530) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL DN21483) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN21483) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-05-23 |