NPI | 1952956443 |
---|---|
Former Name | EMILY LOUISE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 62348) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 11516) |
122300000X Dentist (Licence: TX 37151) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-02 |
Last Update Date | 2025-07-11 |