| NPI | 1861298556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.028294) |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2026-01-20 |