| NPI | 1013427285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MA DN1857760) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MA 1857760) |
| 1223G0001X Dentist General Practice (Licence: MA DN1857760) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-04-16 |