| NPI | 1801373998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN5102) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS041822) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-02-05 |