| NPI | 1497352744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 05160) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858853) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-10-29 |