| NPI | 1992890537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 19701) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 19701) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX 19701) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-10-14 |