NPI | 1275591752 |
---|---|
Former Name | RACHEL HOPE FROMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 995) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2007-07-08 |