| NPI | 1538217724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ME DEN3694) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NH 03186) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2022-07-22 |