NPI | 1063848331 |
---|---|
Former Name | KHOURSCHID A NAIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 38250) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2013034505) |
122300000X Dentist (Licence: CA 63302) | |
Enumeration Date | 2013-09-18 |
Last Update Date | 2024-02-07 |