| NPI | 1275645905 |
|---|---|
| Former Name | MELANIE ANGELA WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE00010867) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA military) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-16 |