| NPI | 1285155184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901601255) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.031247) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-12-21 |