| NPI | 1669268082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA DDS-10341) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.036182) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-06-23 |