| NPI | 1295908648 |
|---|---|
| Former Name | JENNIFER HELENE HIRSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5578) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4311) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |