NPI | 1891273249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MA DF11747) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: VT 016.0134035) |
1223P0300X Dentist, Periodontics (Licence: ME DEN4909) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-29 |
Last Update Date | 2021-09-23 |