| NPI | 1295818060 |
|---|---|
| Other Name | JUSTINA INGRID TRABER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22411) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CT 009364) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-09-21 |