| NPI | 1982869996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 33213) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 19027764) |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2022-11-07 |