| NPI | 1053437095 |
|---|---|
| Former Name | ZARA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 00204506) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8205) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-09-26 |