| NPI | 1245897586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 319.021434) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11373) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-12-16 |