| NPI | 1225530124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D-0007011-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 34715) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-10-28 |