NPI | 1447092580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D012197) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D012197) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-06-10 |
Last Update Date | 2024-06-12 |