| NPI | 1023689668 |
|---|---|
| Former Name | PAIGE PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12943) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1002621-15) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-12-10 |