NPI | 1962078022 |
---|---|
Former Name | ASHLEY CHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D14866) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 37718) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-31 |
Last Update Date | 2023-10-03 |