NPI | 1396030797 |
---|---|
Former Name | NATASHA JEAN-CHARLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0565191) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-06-14 |
Last Update Date | 2019-12-13 |