| NPI | 1942641246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D4728) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030151) |
| 122300000X Dentist (Licence: PA DS039643) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-11-03 |