NPI | 1801216270 |
---|---|
Former Name | HARLYN KAUR SIDHU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60654328) |
Additional Taxonomies | 122300000X Dentist (Licence: MD 15669) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2016-08-01 |