| NPI | 1538552088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401418893) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001616) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-06-25 |