| NPI | 1124767595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044479) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033671) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-10-14 |