| NPI | 1487184313 |
|---|---|
| Former Name | KIMBERLY ELLEN RAABE |
| 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 | 2026-07-09 |