| NPI | 1568692382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9022) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI DEN03051) |
| 122300000X Dentist (Licence: NC 9022) | |
| 1223D0001X Dentist, Dental Public Health (Licence: NC 9022) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2013-06-21 |