| NPI | 1811037674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04306) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 19849) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-06-16 |