NPI | 1780029124 |
---|---|
Former Name | EMILY KAY CHRISMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9307) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-29 |
Last Update Date | 2014-04-17 |