| NPI | 1669425005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027195) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00008973) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |