| NPI | 1447546841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 109983) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 011359) |
| 1223G0001X Dentist General Practice (Licence: MA DN1855738) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-07-17 |