| NPI | 1144632555 |
|---|---|
| Former Name | NATALIE ELIZABETH CROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D13354) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-09009) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |