| NPI | 1932685005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1858037) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 04529) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2025-04-13 |