NPI | 1174949556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 122300000X Dentist (Licence: WA DR60468159) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2024-09-11 |