| NPI | 1184163743 |
|---|---|
| Former Name | ELIZABETH MARIE STANKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DR60757624) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-04-29 |