| NPI | 1770231607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 04815) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1859673) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-06-21 |