| NPI | 1770145716 |
|---|---|
| Former Name | HALIE FAYE MOITOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 61666) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2019046179) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2023-11-27 |