| NPI | 1326495037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 13753) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 13898) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-12-19 |