| NPI | 1083395354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034406) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN PENDING) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-08-21 |