NPI | 1356684062 |
---|---|
Former Name | ANA LUISA SUAREZ-COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NY 057612) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-01 |
Last Update Date | 2014-10-13 |