| NPI | 1821844234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 14286) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 14056) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-05-28 |