NPI | 1245803691 |
---|---|
Former Name | PATRICIA GRABOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61181709) |
Additional Taxonomies | 122300000X Dentist (Licence: ID D-5284) |
Enumeration Date | 2021-07-22 |
Last Update Date | 2023-12-22 |