| NPI | 1144559964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413860) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.029297) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-01-30 |