| NPI | 1316159817 |
|---|---|
| Former Name | ELIZABETH MARY STANSBROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 013785) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 13785) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-04-06 |