NPI | 1760449912 |
---|---|
Former Name | AMY ANN WOIOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS035512) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901019449) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2007-07-08 |