NPI | 1114309705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 6215) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 6215) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2019-06-18 |