| NPI | 1093832669 |
|---|---|
| Former Name | ANDREA VIRGINIA HAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS036902) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02342600) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-05-22 |