NPI | 1487530622 |
---|---|
Former Name | DANA RENEE NEMITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: OR D12256) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-09-01 |