| NPI | 1205240157 |
|---|---|
| Former Name | ELIZABETH RICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9836) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 9728) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-06-01 |