| NPI | 1720307218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3369) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028269) |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2020-06-25 |