| NPI | 1821007212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-025074) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010824a) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-04-27 |