| NPI | 1861950370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NM DD5670) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TD-00-114) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-07-25 |