NPI | 1942438080 |
---|---|
Former Name | KAYLA D. SHEARRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK AK1417) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN S184) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-28 |
Last Update Date | 2022-08-05 |