| NPI | 1295465565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6001069-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.033683) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-12-17 |