| NPI | 1083142467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 13344925-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS041911) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-07-24 |