| NPI | 1750447884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.029782) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 4484) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2014-09-27 |