| NPI | 1063896033 |
|---|---|
| Former Name | KATINA ARIANNA LANDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 64361) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NV 6621) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2018-07-31 |