NPI | 1659965317 |
---|---|
Former Name | NICOLE ELIZABETH FRANCISCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY D62780-01) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-02-23 |
Last Update Date | 2024-10-24 |