| NPI | 1598024457 |
|---|---|
| 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: DE g1-0001329) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2014-04-23 |