NPI | 1740358753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AK 1188) |
Additional Taxonomies | 122300000X Dentist (Licence: AK 1188) |
1223X2210X Dentist, Orofacial Pain (Licence: AK 1188) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2023-09-06 |