| NPI | 1710480876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1859799) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.031842) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-06-20 |