| NPI | 1700153368 |
|---|---|
| Other Name | PATRICIA FERNANDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D13422) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN FL34) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2018-12-17 |