| NPI | 1669841565 |
|---|---|
| Former Name | ZULY FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN24385) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 003197) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D13635) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2019-09-26 |