| NPI | 1255727715 |
|---|---|
| Former Name | NIDYA OLIVEROS DE LA TORRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413959) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 015781) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2015-07-01 |