NPI | 1033879580 |
---|---|
Former Name | HAISSEL BERIOSCA RAMIREZ DE OLEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26581) |
Enumeration Date | 2021-12-26 |
Last Update Date | 2024-04-29 |