| NPI | 1457752271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 1856676) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1856676) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2022-07-21 |