| NPI | 1306577192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044653) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033653) |
| 122300000X Dentist (Licence: FL DN27723) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-06-28 |