| NPI | 1982854006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE60034331) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60034331) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-04-09 |