| NPI | 1619602273 |
|---|---|
| Former Name | ALAINA RAE GAUTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 7605) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7617) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-06-06 |