| NPI | 1437677846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 37935) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031391) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-09-21 |