| NPI | 1831256072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: HI 17632) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI CSDT-80) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA DN1855289) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-06-26 |