| NPI | 1497019848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901600781) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028996) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2022-04-28 |