| NPI | 1467074294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 122572) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.034093) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-03-12 |