NPI | 1770378721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN10001125) |
Additional Taxonomies | 122300000X Dentist (Licence: RI DEN03821) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-09-29 |