| NPI | 1952956443 |
|---|---|
| Former Name | EMILY LOUISE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 37151) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 11516) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-08-09 |