| NPI | 1346763323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA DDS-10322) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013959A) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-07-21 |