| NPI | 1316028962 |
|---|---|
| Former Name | MELISSA ANN FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA DE00007229) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00007229) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-02-21 |