NPI | 1063197481 |
---|---|
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: MI 2951000932) |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-06-28 |