| NPI | 1225262488 |
|---|---|
| Former Name | ELIZABETH SOPHIE JAMIOLKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055145) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 055145) |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2020-09-01 |