| NPI | 1821849399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 05269) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 122300000X Dentist (Licence: MA DN10000990) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-10-14 |