| NPI | 1336663848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 38261) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019031301) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-09-11 |