NPI | 1407163561 |
---|---|
Former Name | MALIZA EVITA CAHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 26039) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 59772) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2019-08-29 |