| NPI | 1568987766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CO 00204244) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031242) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-03-12 |