| NPI | 1265733372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60731) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028290) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-10-05 |