| NPI | 1851887723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1858027) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI DEN03544) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-06-10 |