| NPI | 1013229541 |
|---|---|
| Former Name | LIBERTY FRANKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60156043) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60156043) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-08-07 |