| NPI | 1720599897 |
|---|---|
| Former Name | SABRINA ALEXA STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN28588) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 6469) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-09-10 |