NPI | 1184177941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS044604) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 059108-1) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2025-07-10 |