| NPI | 1487682936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D010263) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019025837) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-10-13 |