NPI | 1558814491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: NC 12546) |
Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain (Licence: NC 0225) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 151115) | |
Enumeration Date | 2016-07-27 |
Last Update Date | 2022-07-19 |