| NPI | 1558689240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC AC5385578-R614) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2012-07-13 |