| NPI | 1326398801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D009326) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.029234) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-10-08 |