| NPI | 1235440447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855819) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 12849) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2021-06-25 |