| NPI | 1942468848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6304-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027322) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-09-08 |