| NPI | 1437647419 |
|---|---|
| Other Name | ISOLDE GINA ROJAS RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 000081-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 000081-01) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2019-12-04 |