NPI | 1841730611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 9835) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 9800) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 021.003026) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-02-27 |
Last Update Date | 2022-01-31 |