NPI | 1972101145 |
---|---|
Other Name | ELIZABETH IVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 10088) |
Enumeration Date | 2020-10-11 |
Last Update Date | 2021-09-09 |