NPI | 1699837419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA 6927) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 6927) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2007-07-08 |