| NPI | 1427126002 |
|---|---|
| Other Name | JUDITH ANN FITZMAURICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 4499) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 15701) |
| 1223G0001X Dentist, General Practice (Licence: MI 2901012671) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |