NPI | 1578790812 |
---|---|
Former Name | RACHEL LYNN HOLLANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 58367) |
Additional Taxonomies | 122300000X Dentist (Licence: FL 18395) |
Enumeration Date | 2009-06-13 |
Last Update Date | 2013-03-23 |