| NPI | 1437648052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NH 04638) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 12684) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 12217) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-07-15 |