| NPI | 1295971943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN26556) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019 022595) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2023-03-06 |