| NPI | 1326414541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN03294) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857029) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2016-02-18 |