| NPI | 1346237864 |
|---|---|
| Former Name | LARA INGA VANDERYACHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NE 5846) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-08-12 |