| NPI | 1801457791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.032557) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 35409) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2022-01-12 |