| NPI | 1861592529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 5239) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MT 2235) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: MT 11198) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: WI 5239) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2019-02-06 |