| NPI | 1306925318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901021161) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026376) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-01-09 |