NPI | 1538851118 |
---|---|
Former Name | ALAINA ELIZABETH GRANIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 4382-23) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-07-10 |