| NPI | 1710251798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855027) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 008985) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-05-25 |