| NPI | 1659510733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS037586) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-028231) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2010-07-12 |