| NPI | 1013019942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 3448) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20910) |
| 122300000X Dentist (Licence: ME 3731) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |