| NPI | 1821518945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 33791) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 33791) |
| 122300000X Dentist (Licence: CA 103323) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 062236) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 103323) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-07-10 |