NPI | 1518214881 |
---|---|
Former Name | PAMELA KIMBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 11648) |
Additional Taxonomies | 122300000X Dentist (Licence: UT 4934289-9921) |
122300000X Dentist (Licence: MT 11648) | |
1223G0001X Dentist, General Practice (Licence: UT 4934289-9921) | |
Enumeration Date | 2012-08-06 |
Last Update Date | 2024-02-20 |