NPI | 1255574216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN20685) |
Additional Taxonomies | 122300000X Dentist (Licence: RI DEN02720) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2018-03-17 |