| NPI | 1437331584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 13374) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 16645) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-12-20 |