| NPI | 1942996244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 05261) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 13749) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2025-07-26 |