| NPI | 1306268610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 059141) |
| 122300000X Dentist (Licence: NY 059141) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-02-26 |