NPI | 1861948911 |
---|---|
Former Name | COURTNEY ELIZABETH MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23811) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 10387) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2021-01-26 |