| NPI | 1881180867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 34360) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 34360) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-06-04 |