| NPI | 1154082337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.034386) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 600142515) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-04-04 |