| NPI | 1447532072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901601177) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS038882) |
| 122300000X Dentist (Licence: CT 11548) | |
| 122300000X Dentist (Licence: SC 7078) | |
| 122300000X Dentist (Licence: NJ 22DI02628800) | |
| 122300000X Dentist (Licence: IL 019028849) | |
| 1223G0001X Dentist, General Practice (Licence: MA DN1858178) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-10-12 |