| NPI | 1619607967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033717) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033717) |
| 1223G0001X Dentist, General Practice (Licence: IL 019033717) | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-08-09 |