| NPI | 1699424770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA DDS-09978) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KS 62038) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-03-27 |