| NPI | 1689016990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7529) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.029543) |
| 1223G0001X Dentist, General Practice (Licence: FL DN 20183) | |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2019-06-11 |