NPI | 1285010561 |
---|---|
Former Name | ELIZABETH CAROL ALLINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 34758) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 058776) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2019-02-05 |