| NPI | 1992186266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856886) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI DEN03268) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-02-04 |