| NPI | 1427498096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039602) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.030024) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-08-15 |