NPI | 1487184313 |
---|---|
Former Name | KIMBERLY RAABE MCBARNET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TX 32994) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 32994) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-10-23 |