| NPI | 1013058999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN2634) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 41294) |
| 1223G0001X Dentist, General Practice (Licence: NY 047417) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |