NPI | 1821222795 |
---|---|
Former Name | KRISTIN MARY TIGANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DE G1-0001289) |
Additional Taxonomies | 122300000X Dentist (Licence: DE G1-0001289) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2025-04-10 |