| NPI | 1710535372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04516) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858457) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-10-25 |