| NPI | 1134516693 |
|---|---|
| Former Name | CATHARINE ELIZABETH MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: GA DN015136) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-11-08 |