| NPI | 1215419338 |
|---|---|
| Former Name | NADIA CHRISTINA KIESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 13101) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 10964686-9921) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-02-08 |