| NPI | 1538414156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414972) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414972) |
| 1223G0001X Dentist, General Practice (Licence: IL 019029149) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2020-11-06 |