| NPI | 1639304892 |
|---|---|
| Former Name | JAYNE EBERECHUKWU KALU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 9616) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8195) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2017-05-31 |