| NPI | 1003045444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011905A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027875) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2014-01-24 |