| NPI | 1295485704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 14007) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OH 30.027299) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2025-02-26 |