NPI | 1316435985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 122) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D10945) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-28 |
Last Update Date | 2020-09-30 |