| NPI | 1275929432 |
|---|---|
| Former Name | JENNIFER PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9963) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 30634) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2016-10-20 |