| NPI | 1215285473 |
|---|---|
| Former Name | JILL CAROLINE KOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19934) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19934) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2025-01-07 |