| NPI | 1356959399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN26298) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM2088) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-07-05 |