| NPI | 1427320407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20105) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 059552) |
| 1223G0001X Dentist, General Practice (Licence: MA DL11328) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2023-07-27 |