NPI | 1679153431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN28248) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRP2288) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2024-08-01 |