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 |