NPI | 1194475491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 110011) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.034171) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-03-28 |
Last Update Date | 2024-04-10 |