| NPI | 1831938174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM DB-2024-0227) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DB-2024-0227) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-11-20 |