| NPI | 1386486405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRPM2754) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401419001) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-07-16 |