| NPI | 1093237497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MA DL13672) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MA DL13282) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-10-13 |