| NPI | 1659125177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D.007312-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN123418) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-06-04 |