| NPI | 1922214691 |
|---|---|
| Former Name | ROSELYN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8365) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30019228) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-02-26 |