| NPI | 1114373859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 05148) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857239) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2025-03-26 |