| NPI | 1639433790 |
|---|---|
| Former Name | AMY LAUREN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 11236) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS039223) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-09-19 |