NPI | 1922447879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856435) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DL11872) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2018-10-11 |