| NPI | 1861713232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032436) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.023183) |
| 122300000X Dentist (Licence: TX 20022) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2023-12-06 |