| NPI | 1396186706 |
|---|---|
| Former Name | SANA ABDULA YASSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 6386) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 29460) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2014-12-03 |