| NPI | 1083715486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020338) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30018904) |
| 1223G0001X Dentist, General Practice (Licence: CA 32427) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-09-12 |