| NPI | 1346417326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: RI DEN03160) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN17334) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2025-01-09 |