| NPI | 1578051884 |
|---|---|
| Former Name | ARLISHA JASMINE BULLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 37258) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-12-04 |