NPI | 1841934452 |
---|---|
Former Name | TARA FAROUK APPIAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS043939) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 063557) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-21 |
Last Update Date | 2025-01-15 |