| NPI | 1164031613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN1858763) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858763) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-05-26 |