| NPI | 1508272048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 34710) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029859) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2021-10-21 |