| NPI | 1013592831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN28008) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM2268) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2023-07-19 |