| NPI | 1669097614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN122296) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032684) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-03-07 |