| NPI | 1013382514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901021757) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 319019420) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |