| NPI | 1619660297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.034219) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 11087) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-04-01 |