NPI | 1376967869 |
---|---|
Former Name | KAREN DOAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 63512) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-02-05 |
Last Update Date | 2018-03-17 |