| NPI | 1235937897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 18927) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401419555) |
| 122300000X Dentist (Licence: DC DEN2001572) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-08-05 |