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 |