| NPI | 1871669523 |
|---|---|
| Former Name | EMMA LATHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 16184) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |