| NPI | 1588952998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: RI DEN03273) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 010582) |
| 1223G0001X Dentist, General Practice (Licence: CT 10582) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2025-06-25 |