| NPI | 1225150378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 40135) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019023442) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-10-26 |