| NPI | 1932699857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401417246) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02774400) |
| 1223G0001X Dentist, General Practice (Licence: NY 060708) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-05-04 |