| NPI | 1932284213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 35971) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NV S1-15C) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 053225-1) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-03-26 |