| NPI | 1033600952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA dn1859046) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1859046) |
| 1223G0001X Dentist, General Practice (Licence: NV 7278) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2024-07-16 |