NPI | 1225195837 |
---|---|
Former Name | ANGELA M VEIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 7171-15) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D12166) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2024-09-10 |