| NPI | 1184312977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS109258) |
| 1223G0001X Dentist, General Practice (Licence: CA DDS109258) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-12-01 |