| NPI | 1760261085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034639) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12014257A) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-11-06 |