| NPI | 1407262827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VT 3876) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7147) |
| 1223G0001X Dentist, General Practice (Licence: VT 016.0133876) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-06-02 |