| NPI | 1114732039 |
|---|---|
| Former Name | LAURA MARIA KOGSON NIETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DENT.DE.70037311) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-09-23 |