| NPI | 1134704919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DRPM2267) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 2267) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRP2267) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM2267) | |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2023-06-20 |