| NPI | 1396117990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NC 0163) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MA DN20692) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |