| NPI | 1235584913 |
|---|---|
| Former Name | TEMICKA TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000010434) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-01-13 |