| NPI | 1043736473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-09844) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.031326) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-01-20 |