| NPI | 1003223660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 19032497) |
| Additional Taxonomies | 122300000X Dentist (Licence: ME DEN4391) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 004031) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-10-19 |