NPI | 1497041149 |
---|---|
Former Name | VANESSA JANINE SCHIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CT 010704) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-06-21 |
Last Update Date | 2015-11-06 |