NPI | 1679739007 |
---|---|
Former Name | SOMER RACHELLE PFEIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 6035) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 6035) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2011-05-18 |