| NPI | 1861971335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN23759) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN23759) |
| 122300000X Dentist (Licence: FL 23759) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-12-04 |