| NPI | 1275066235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013112A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031060) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-09-08 |