| NPI | 1093323255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN03606) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858742) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-07-25 |