| NPI | 1639739378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 17734) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 30.026209) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-05-12 |