NPI | 1063806875 |
---|---|
Former Name | ALYS MURDOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02654600) |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA DS040238) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2019-02-06 |