| NPI | 1356606198 |
|---|---|
| Former Name | JENNIFER LYNN BROWNIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00202918) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9447) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2017-04-05 |