| NPI | 1205075785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000471) |
| Additional Taxonomies | 122400000X Denturist (Licence: AZ DN34) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-08-22 |