NPI | 1386140218 |
---|---|
Former Name | CATHERINE ANNE SCHRICKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901600893) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901600893) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-31 |
Last Update Date | 2022-09-15 |