NPI | 1487144887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.026084) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 060631) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-11 |
Last Update Date | 2024-04-29 |