| NPI | 1376052043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN1857832) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031413) |
| 122300000X Dentist (Licence: MA DN1857832) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-03-06 |