NPI | 1366134744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D.007310-C1) |
Additional Taxonomies | 122300000X Dentist (Licence: AL D.007310-C1) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-05-23 |
Last Update Date | 2024-06-11 |