| NPI | 1194393348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 3457) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 3457) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-04-17 |