| NPI | 1811649155 |
|---|---|
| Former Name | ANNA ANDREEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE61195354) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE61195354) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-03-30 |