| NPI | 1982198958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DN1858465) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1858465) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-03-07 |