| NPI | 1427281963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DF 11217) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MA DF11217) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-10-14 |