| NPI | 1114551587 |
|---|---|
| Former Name | REBECCA ELLERIN DAVID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 061920) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-11-07 |