| NPI | 1629007976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021744) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-018017) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-11-21 |