NPI | 1285319277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2952000832) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-09-17 |