NPI | 1134640006 |
---|---|
Former Name | RONNA LEIGH ROWLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL D-0006991-C1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN015452) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2023-08-17 |