NPI | 1245800499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61141103) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE61141103) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2025-03-27 |