| NPI | 1720662208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AL D-0007024-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DRPM2342) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-01-16 |