NPI | 1770322018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 2952000851) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 27783) |
Enumeration Date | 2024-05-24 |
Last Update Date | 2024-08-25 |