| NPI | 1093235590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN1858940) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: RI LD00141) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-12-05 |