| NPI | 1932546637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856259) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI DEN03184) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-07-08 |