NPI | 1225077761 |
---|---|
Former Name | JOANNIE CHU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60477421) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52594) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2017-05-03 |