| NPI | 1821611864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G8-CH00010) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4500) |
| 1223G0001X Dentist, General Practice (Licence: PA DS043003) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-12-07 |