| NPI | 1992842793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TN 12444) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 058420) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DNF000457) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-06-17 |