| NPI | 1649888165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NH 04786) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032825) |
| 1223G0001X Dentist General Practice (Licence: MA DN1858800) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-03-26 |