| NPI | 1336678804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: IN 12013123A) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 018002022) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-04-12 |