| NPI | 1669122370 |
|---|---|
| Other Name | ANASTASIA S PANKRATOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: FL DH26758) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 11388) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |