NPI | 1548795545 |
---|---|
Former Name | ANDRIANETTE NICOLE SKRYPEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 059741) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-27 |
Last Update Date | 2024-07-31 |