| NPI | 1144887464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1002229-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032087) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-09-04 |