| NPI | 1962798785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19680) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028671) |
| 122300000X Dentist (Licence: PA DS038733) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2014-04-23 |