| NPI | 1174849830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011400A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028236) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-12-13 |