NPI | 1144962309 |
---|---|
Former Name | ELLYN CARTER ADKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.027084) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.027084) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-08 |
Last Update Date | 2025-08-25 |