| NPI | 1093110496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021240) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2024-04-09 |