NPI | 1710298427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60217589) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DR60171708) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2014-11-21 |