| NPI | 1700938248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: WA DN00000005) |
| Additional Taxonomies | 122400000X Denturist (Licence: OR DTDO302276) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |