NPI | 1437263878 |
---|---|
Former Name | KAREN ARMSTRONG JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DNO11604) |
Additional Taxonomies | 122300000X Dentist (Licence: GA 11604) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2019-04-15 |