| NPI | 1669967535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 3476) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 36084) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2025-05-08 |