NPI | 1497136113 |
---|---|
Other Name | RACHEL E PETSKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NE 7287) |
Additional Taxonomies | 122300000X Dentist (Licence: ND 2261) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2018-12-10 |