| NPI | 1942958053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 063401-01) |
| 122300000X Dentist (Licence: NJ 22DI02948500) | |
| 122300000X Dentist (Licence: FL DN27740) | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-02-22 |