| NPI | 1457965485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6001146-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901601516) |
| 122300000X Dentist (Licence: IL 019032878) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-10-23 |