| NPI | 1619132818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013812) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027769) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2010-12-28 |