NPI | 1871163618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA DN122347) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN122347) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2022-06-30 |