| NPI | 1568056216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 7843) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV LL-552-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-04-11 |