NPI | 1447950654 |
---|---|
Former Name | YAUHENIYA OSBON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D012308) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2023022202) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2024-08-28 |