NPI | 1316515307 |
---|---|
Former Name | ALEXANDRA GRIFFIN SCHUTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC DGD.10574) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D14619) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-15 |
Last Update Date | 2024-02-25 |