NPI | 1730538661 |
---|---|
Former Name | GIANNA PAOLA KOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN 14279) |
Additional Taxonomies | 122300000X Dentist (Licence: MN LGL14) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2020-01-14 |