| NPI | 1740417377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010429) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1855178) |
| 122300000X Dentist (Licence: CT 010429) | |
| 1223D0001X Dentist, Dental Public Health (Licence: CT 10429) | |
| 1223G0001X Dentist, General Practice (Licence: MA DN1855178) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-03-03 |