| NPI | 1942705728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 10111) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: KY 10111) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-05-03 |