NPI | 1376884999 |
---|---|
Former Name | ALANA GAIL GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12013303A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-03-06 |
Last Update Date | 2020-05-13 |