| NPI | 1417446253 |
|---|---|
| Former Name | NICOLE MARCELLA TERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE61020944) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 61020944) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-09-16 |