| NPI | 1194930966 |
|---|---|
| Former Name | MARIA LUBITZA PRODANOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX M3700) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-08-20 |