NPI | 1457883944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23281) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 1858018) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2022-05-02 |