| NPI | 1689994899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT CT 10293) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN21586) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-06-21 |