NPI | 1740807387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 13105) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032709) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2021-05-27 |