NPI | 1396926572 |
---|---|
Former Name | KRISTI DANIELLE HATFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 32113) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 32113) |
133V00000X Dietitian, Registered | |
Enumeration Date | 2007-11-16 |
Last Update Date | 2020-08-13 |