| NPI | 1023403912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: ZZ 12-R-D0035936) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |