| NPI | 1578051918 |
|---|---|
| Former Name | YESSENIA ANABEL BARRERA ANDRADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 060898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-06-09 |