| NPI | 1407684467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.035278) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-10266) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-09-23 |