| NPI | 1336280957 |
|---|---|
| Former Name | SHELLY SIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE10256) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010256) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-05-20 |