| NPI | 1811440662 |
|---|---|
| Former Name | SAMELA THAIS DE PAULA LIMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: KY 10373) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 10373) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-11-05 |