| NPI | 1821272030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08810) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.027385) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2021-05-28 |