| NPI | 1033814108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 18288) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.034266) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-08-05 |