| NPI | 1255896940 |
|---|---|
| Former Name | KATELYN ELIZABETH SCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD.9186) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9186) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-04-20 |