| NPI | 1891147187 |
|---|---|
| Former Name | ANJA M KOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901021945) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-06-18 |