| NPI | 1063153260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419210) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205223) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-01-06 |