| NPI | 1477541464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9122) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026199) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-10-19 |