| NPI | 1437883634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033803) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN122789) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-06-26 |