| NPI | 1235423112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29147) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028805) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2019-10-07 |