| NPI | 1386084564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: ME DEN4322) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ME RES79) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-12-20 |