| NPI | 1447421748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NH 03997) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN219921) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2023-08-03 |