| NPI | 1720711864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034587) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 27256) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-09-27 |