| NPI | 1770727778 |
|---|---|
| Former Name | ELIZABETH ANNE CHRISTIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012895A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D12833) |
| 122300000X Dentist (Licence: IL 019.031515) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-04-02 |