| NPI | 1821738873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: SC DGD.10245) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: SC DGD.10245) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-11-03 |