| NPI | 1780092155 |
|---|---|
| Former Name | ERICA DANIELLE ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D10528) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV LL-371-14) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2017-01-05 |