| NPI | 1144873522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27604) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901600233) |
| 1223G0001X Dentist, General Practice (Licence: IL 019032316) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-02-27 |