| NPI | 1013145226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030135) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2009016288) |
| 122300000X Dentist (Licence: FL DN18654) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-06-06 |