| NPI | 1538578356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856592) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD DN1856592) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-08-17 |