NPI | 1174027007 |
---|---|
Former Name | HILLARY CREED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1858263) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-23 |
Last Update Date | 2022-07-07 |