| 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 |