| NPI | 1740695931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD4101) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019030114) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-07-21 |