| NPI | 1407019243 |
|---|---|
| Former Name | TINA MICHELL CHAMPION-HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN015080) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019025754) |
| 1223G0001X Dentist, General Practice (Licence: GA DN015080) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-05-27 |