| NPI | 1811379399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04661) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.024909) |
| 1223G0001X Dentist, General Practice (Licence: ME DEN4855) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-07-30 |