| NPI | 1952864985 |
|---|---|
| Former Name | SAMANTHA MARTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 100253915) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 30561) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2021-09-17 |