| NPI | 1861672255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE 60145015) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VT 016.0046369) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901018845) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.028235) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-04-29 |