| NPI | 1194245225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS042216) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN LDR170182) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-07-02 |