| NPI | 1891727152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 007442) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CT 007442) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-03-30 |