NPI | 1194390062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30.027069) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RES.004339) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-24 |
Last Update Date | 2023-05-20 |