NPI | 1871962084 |
---|---|
Former Name | CATHRYN ANN PUMILIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21288) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019022372) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |