NPI | 1487818993 |
---|---|
Former Name | KARI BETH LINSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS038058) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-07-14 |
Last Update Date | 2013-08-14 |