NPI | 1952975708 |
---|---|
Former Name | HANNAH RENE KRAEMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TX 37897) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
122300000X Dentist (Licence: OK 7433) | |
Enumeration Date | 2021-05-17 |
Last Update Date | 2022-08-09 |