| 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 |