| NPI | 1609559525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034953) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6001318-15) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-04-23 |