| NPI | 1013535731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1002479-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032777) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-09-18 |