| NPI | 1124402011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN21292) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030236) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-08-30 |