| NPI | 1427259175 |
|---|---|
| Former Name | NICOLE KRISTIN LAMBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12010971A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010971A) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-09-11 |