| NPI | 1689902116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401417585) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS039112) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 17190) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-03-23 |