| NPI | 1740629088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN24372) |
| Additional Taxonomies | 125Q00000X Oral Medicinist (Licence: VA 0411000055) |
| 122300000X Dentist (Licence: VA 0401416527) | |
| 122300000X Dentist (Licence: VA 0411000055) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: FL DN24372) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: VA 0401416527) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: VA 0411000055) | |
| 125Q00000X Oral Medicinist (Licence: FL DN24372) | |
| 125Q00000X Oral Medicinist (Licence: VA 0401416527) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-12-30 |