| NPI | 1518583061 |
|---|---|
| Former Name | ALEXANDRA KAYE JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014165A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901600585) |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2025-01-15 |