| NPI | 1881981280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 04200) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 9156) |
| 122300000X Dentist (Licence: ME DEN4276) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-12-08 |