| NPI | 1821502196 |
|---|---|
| Former Name | JELENA CAVRIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 9898) |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2021-03-23 |