NPI | 1871249292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA RES-30632) |
Additional Taxonomies | 122300000X Dentist (Licence: IA 00000) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-07-28 |