| NPI | 1437574761 |
|---|---|
| Former Name | NATALIA ANDREA DIAZ SUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN20867) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM 4048) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2015-02-23 |