| NPI | 1134814718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1859834) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 05220) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-09-25 |