| NPI | 1538807219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18458) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00205573) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-08-26 |