| NPI | 1669814455 |
|---|---|
| Former Name | CHRISTABELLE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1001037) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029549) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2021-05-04 |