NPI | 1518716521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN10000333) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: RI DEN03765) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-05-14 |
Last Update Date | 2025-06-23 |