NPI | 1407006752 |
---|---|
Former Name | PAULA ANN SCHOMAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60754757) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.027996) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2022-02-24 |