| NPI | 1649567983 |
|---|---|
| Former Name | LAURA NOELLE FRANKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3604-11) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2014-09-11 |