| NPI | 1710029376 |
|---|---|
| Former Name | BECKY COOK VAN GEMERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 10216) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 10216) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-03-07 |