| NPI | 1184865370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WA DE60100287) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021.002294) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-12-01 |