| NPI | 1700060548 |
|---|---|
| Former Name | MOONA NAUSHEEN HUSSAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA de00011022) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 050859-1) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2023-06-09 |