NPI | 1548964661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS045069) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS045069) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2025-05-07 |