| NPI | 1386462216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.035499) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901602316) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-11-18 |