| NPI | 1982114989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NH 04356) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MA DN1857746) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |