| NPI | 1972101145 |
|---|---|
| Other Name | ELIZABETH IVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 0000011732) |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2024-08-06 |