| NPI | 1538325568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN3697) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME 3697) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2019-01-28 |