| NPI | 1104484088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419710) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ME DEN4719) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-10-09 |