NPI | 1093173536 |
---|---|
Former Name | MORGAN LEIGH FLINCHBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12012766A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RES.3577) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN LDR160146) | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2017-07-18 |