| NPI | 1366504078 |
|---|---|
| Former Name | MICHELLE BRENDA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023014) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011745A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12011745A) | |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2023-11-03 |