| NPI | 1174856751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN18567) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019026365) |
| 1223E0200X Dentist, Endodontics (Licence: IL 021002124) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2013-06-12 |