| NPI | 1831828854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1859396) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 13928) |
| 1223G0001X Dentist, General Practice (Licence: FL DN26868) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-01-06 |