NPI | 1639973449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DN30493) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN30493) |
Enumeration Date | 2025-04-02 |
Last Update Date | 2025-09-26 |