| NPI | 1932317922 |
|---|---|
| Former Name | JODI EVE FAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17658) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24122) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-02-22 |