| NPI | 1518581560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901601597) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032658) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-10-09 |