| NPI | 1083275523 |
|---|---|
| Other Name | ANGELA MAY VIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TN Unissued) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11125) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-30 |