| NPI | 1124862370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.035535) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6001539-15) |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-11-24 |