| NPI | 1528268281 |
|---|---|
| Former Name | JORDAN EMILEA SCHEFFLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D8929) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8929) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2016-11-18 |