| NPI | 1902604465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 14544) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-08-21 |