| NPI | 1326393455 |
|---|---|
| Former Name | KARA FAYE GOBBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VA 0402204467) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: VA 195701) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |