| NPI | 1831699198 |
|---|---|
| Former Name | ISABEL ANE SOBRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60826218) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60826218) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-06-24 |