| NPI | 1376399899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI DEN03724) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ME DEN5149) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2026-04-13 |