| NPI | 1912361247 |
|---|---|
| Former Name | YVONNE MICHELLE MARTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7358) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 137) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-07-21 |