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 |