| NPI | 1689955304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028851) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27368) |
| 1223G0001X Dentist, General Practice (Licence: IN 12012075A) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2014-01-29 |