| NPI | 1760872303 |
|---|---|
| Former Name | HALEY FARRAH ZAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60677419) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY dentistry) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2022-07-03 |