NPI | 1730633033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 2901602078) |
Additional Taxonomies | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: ME FDN19) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2024-06-21 |