| NPI | 1891127106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: RI DEN03191) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856371) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-11-13 |