NPI | 1992155311 |
---|---|
Former Name | ELIZABETH KNOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: OH 30.028209) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN00203313) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2025-10-02 |