| NPI | 1043772668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034158) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN25711) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-07-12 |