| NPI | 1235205741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6789) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027138) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-09-02 |