| NPI | 1073153110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00205212) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032460) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-04-25 |