NPI | 1417000274 |
---|---|
Other Name | STEPHANIE MICHELLE WARD-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL BW8041939) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019025760) |
1223G0001X Dentist, General Practice (Licence: IL 319014416) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |