| NPI | 1336759521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122423) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032817) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-08-24 |