| NPI | 1801498985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033049) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 24332) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-07-14 |