| NPI | 1689806077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL DN20977) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 522) |
| 122300000X Dentist (Licence: FL DN20977) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2014-10-23 |