NPI | 1972231504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA RES-30627) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IA RES-30627) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2022-08-22 |