NPI | 1922293935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA OMS75) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A99211) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2015-06-10 |