| NPI | 1295066231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 30280) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2012-07-05 |