NPI | 1144467168 |
---|---|
Other Name | JAMILY PEDRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN19518) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 10274) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2017-02-21 |