NPI | 1841650777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OR D10939) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
204E00000X Oral & Maxillofacial Surgery (Licence: NC 2024-00524) | |
122300000X Dentist (Licence: WA DR60650631) | |
Enumeration Date | 2016-03-04 |
Last Update Date | 2025-08-22 |