| NPI | 1447668660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30269) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019029994) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-12-07 |