| NPI | 1013719038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03103100) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-07-17 |