NPI | 1770798456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS035784) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS035784) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2016-10-27 |