| NPI | 1770145195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D010757) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032230) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-07-25 |