| NPI | 1053587931 |
|---|---|
| Former Name | JAIME CHRISTINE JAAX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60569) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2006017468) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-07-21 |