| NPI | 1073629788 |
|---|---|
| Former Name | ANISSA LYNN SOMMERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19573) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19573) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-06-13 |