| NPI | 1770343907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN10000580) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-09-23 |