| NPI | 1972174795 |
|---|---|
| Former Name | BRIANA AMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122397) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN122397) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-05-28 |