NPI | 1053651547 |
---|---|
Former Name | KARA ELIZABETH CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62701) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-02-21 |
Last Update Date | 2022-08-24 |