| NPI | 1912228255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN3083) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI 1684) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-09-27 |