| NPI | 1174834410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08729) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 08729) |
| 122300000X Dentist (Licence: IL 019030377) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2024-04-04 |