NPI | 1821522269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS041722) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS041722) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-12 |
Last Update Date | 2018-12-03 |