| NPI | 1962701748 |
|---|---|
| Former Name | AMANDA ELSPETH ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9963) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D9963) |
| 122300000X Dentist (Licence: IL 019.029546) | |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2016-05-06 |