| NPI | 1083251607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 125J00000X Dental Therapist (Licence: AK 19-156-DHAT) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-09-05 |