NPI | 1376975425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN15073) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2023-08-15 |