NPI | 1760963904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36189) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: AL Notyet) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-26 |
Last Update Date | 2021-03-23 |