NPI | 1033630371 |
---|---|
Former Name | MARGARET ELIZABETH CRAVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN D13865) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D13865) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-12-08 |