| NPI | 1326353673 |
|---|---|
| Former Name | SAMANTHA A. MANIERRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60477203) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60477203) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-01-10 |