NPI | 1902280977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD4437) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM ETN357) |
Enumeration Date | 2015-07-19 |
Last Update Date | 2022-07-21 |