| NPI | 1174221451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D12149) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-12-15 |