| NPI | 1396445607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DEN100426) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI DEN03745) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-08-12 |