| NPI | 1992954275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 58329) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A133495) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: TX P8557) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 28642) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2015-09-23 |