| NPI | 1992249536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030981) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012606A) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |