| NPI | 1215591664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN4949) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858294) |
| 1223G0001X Dentist, General Practice (Licence: RI DEN0357) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-12-02 |