NPI | 1275808800 |
---|---|
Former Name | CAYTLYN FOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3693) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
1223G0001X Dentist, General Practice (Licence: TX 28727) | |
Enumeration Date | 2012-03-15 |
Last Update Date | 2016-08-04 |