| NPI | 1114088812 |
|---|---|
| Former Name | CATHERINE ELIZABETH EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001620) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019021729) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-06-21 |