| NPI | 1942450416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME DEN5174) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 13167) |
| 122300000X Dentist (Licence: CA 57654) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2024-10-09 |