| NPI | 1275764631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901023189) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 018001725) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-09-12 |