| NPI | 1598230161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDSS103294) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-03-30 |