| NPI | 1114351350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 65000) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.029594) |
| 122300000X Dentist (Licence: TX 29156) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2022-08-15 |