| NPI | 1215215249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10452) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028857) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2019-01-23 |