| NPI | 1144741083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OR D11284) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-10-23 |