NPI | 1265985451 |
---|---|
Former Name | KAREN GAINES BATINOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: FL DRP1629) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2016-07-25 |