| NPI | 1992262588 |
|---|---|
| Former Name | MORGAN LEIGH NIEWERTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 9375) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2022-08-05 |