| NPI | 1407410285 |
|---|---|
| Former Name | DENAE CHEYENNE BRITSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS043940) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-11-21 |