| NPI | 1023372877 |
|---|---|
| Former Name | KARA BLOBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 09376) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7333) |
| 122300000X Dentist (Licence: MN D13131) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-11-11 |