NPI | 1831811876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: MA DL15347) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA DL15347) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2023-04-24 |