| NPI | 1841873262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901601163) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME DEN4913) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-03-02 |