| NPI | 1891156212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D010863) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 059876) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02719300) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2020-11-05 |