| NPI | 1790184828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MT 11407) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029787) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-07-04 |