NPI | 1306391164 |
---|---|
Professional Name | ANNA JENNINGS NIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3862-16) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS PEDO-549-18) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2022-10-10 |