NPI | 1326494840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1857901) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 1857901) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2022-02-03 |