| NPI | 1912210246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN122515) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.028393) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-10-13 |