| NPI | 1124466628 |
|---|---|
| Former Name | MERRELL IRBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 6198) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2019-09-18 |