| NPI | 1841579059 |
|---|---|
| Former Name | STEPHANIE BROOKE SWORDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 300221) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 0027089) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2022-03-16 |