NPI | 1093444317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61320745) |
Additional Taxonomies | 122300000X Dentist (Licence: WA 61320745) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-07-06 |