| NPI | 1801488465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN122419) |
| Additional Taxonomies | 224P00000X Prosthetist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-03-29 |