NPI | 1992835060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: LA P-143) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TN 8853) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-06-27 |