| NPI | 1235087362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM3010) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 3010) |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-09-11 |