| NPI | 1578112322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 14013) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032390) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-01-06 |