NPI | 1467046722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN26258) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 000123) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-01-08 |