NPI | 1093305310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: RI DEN03586) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858902) |
Enumeration Date | 2021-01-20 |
Last Update Date | 2021-11-01 |