| NPI | 1396973574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: ME DEN4923) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NY 051429) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-12-06 |