| NPI | 1811136898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60035277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00131874) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2023-09-13 |