| NPI | 1548318884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN03007) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 21227) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-08-03 |