| NPI | 1235718420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3160-0) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 122300000X Dentist (Licence: IL DT-3160-0) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-07-17 |