| NPI | 1396251922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 39181) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019031239) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-06-21 |