| NPI | 1609547348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MA DL15868) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VT 016.0134311) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-08-27 |