NPI | 1316233703 |
---|---|
Other Name | KAREN ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 28333) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028333) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2016-12-16 |