| NPI | 1861673683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26269) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.027472) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |