| NPI | 1154905602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: KS 62022) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-06-12 |