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 |