| NPI | 1932635265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MD 16818) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: DC DEN1002099) |
| 1223P0700X Dentist Prosthodontics (Licence: VA 401416836) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-08-21 |