| NPI | 1437477395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1855514) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 03800) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-06-30 |