NPI | 1285924407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: ME DEN4178) |
Additional Taxonomies | 122300000X Dentist (Licence: ME DEN4178) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2020-12-30 |