| NPI | 1003398850 |
|---|---|
| Former Name | BAILEY MOORHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS041939) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS041939) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2023-08-29 |