| NPI | 1275984866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI DEN03301) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI CDEN03301) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-06-25 |