NPI | 1205148145 |
---|---|
Former Name | AIMEE JEAN CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MT DEN-DEN-LIC-2485) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2485) |
122300000X Dentist (Licence: MN D12841) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2024-03-15 |