| NPI | 1336714021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN10000244) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 062713) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-07-01 |