| NPI | 1225591480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.032325) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 12850) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2022-07-08 |