| NPI | 1174047633 |
|---|---|
| Former Name | NINA SUBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 6456) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 6456) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-05-18 |