| NPI | 1942764568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA DN10000986) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2025-09-22 |