| NPI | 1558523498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DN22208) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 22208) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-01-24 |