| NPI | 1104897206 |
|---|---|
| Former Name | NICOLE BATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23526) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 7406) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2007-10-22 |