| NPI | 1124646823 |
|---|---|
| Former Name | ALINA MARIA TARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1858819) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 12846) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-05-25 |