NPI | 1538414602 |
---|---|
Former Name | EVE ERIN BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 5955 C1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 30364) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2016-01-13 |