| NPI | 1215053988 |
|---|---|
| Former Name | EILEEN KUO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010491) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 10491) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-10-05 |