NPI | 1154618387 |
---|---|
Former Name | SALLY IBRAHIM ALKAMARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056466-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-07-08 |
Last Update Date | 2023-02-17 |