| NPI | 1508869876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL HAD128) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019022168) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-01-19 |