NPI | 1609255587 |
---|---|
Former Name | CLAIRE PEARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11821) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 058946-01) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-25 |
Last Update Date | 2022-07-14 |