| NPI | 1760863872 |
|---|---|
| Former Name | CAADRIAN NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30024933) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL DRP1397) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-07-01 |