| NPI | 1427569870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 12973) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857788) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-02-01 |