| NPI | 1023547718 |
|---|---|
| Former Name | ANYA K WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 016.0133910) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 1857890) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-04-16 |