| NPI | 1205451184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN4800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 04562) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-11-21 |