| NPI | 1699905547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2011014087) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028092) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2022-07-21 |