| NPI | 1174179931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1858606) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901600187) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-11-09 |