| NPI | 1679975866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.030029) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 23393-875) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2022-11-04 |