| NPI | 1780183632 |
|---|---|
| Former Name | YOMALY MADERA TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 23141) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN23141) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-12-16 |