| NPI | 1023384039 |
|---|---|
| Former Name | AUDREY UKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6866) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08853) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2021-07-20 |