NPI | 1275035966 |
---|---|
Former Name | RACHEL YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12557) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5968) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2024-07-15 |