| NPI | 1285202531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MO 2021026770) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.033174) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-02-15 |