NPI | 1013077627 |
---|---|
Former Name | GITANJALI LUCIA PINTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8830) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 8830) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2015-01-15 |