| NPI | 1962743393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN20207) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2023-07-12 |